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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >A multiple-indicator multiple-cause model for posttraumatic stress reactions: personality, coping, and maladjustment.
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A multiple-indicator multiple-cause model for posttraumatic stress reactions: personality, coping, and maladjustment.

机译：创伤后应激反应的多指标多原因模型：人格，应对和适应不良。

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OBJECTIVE: This study aimed to develop a multiple-indicator multiple-cause model (MIMIC) to describe the relationship among posttraumatic stress (PTSD) responses, general health problems, death anxiety, personality factors, and coping strategies among community residents exposed to the technological disasters of aircraft and train crashes. MATERIALS AND METHODS: One hundred forty-eight community residents, after exposure to the aircraft or train crash, were assessed using the Impact of Event Scale, the General Health Questionnaire-28, the Death Anxiety Scale, the Eysenck Personality Questionnaire, and the Ways of Coping Checklist. The control group (n = 90) comprised members of the general public, who had not been exposed to the disasters, from another city. RESULTS: The model showed significant associations between the impact of the disaster and general health problems, which varied depending on where community residents lived in relation to the disaster site, whether they were present when the disaster occurred, and the type of disaster. The model also suggested that death anxiety was associated with type of disaster and neuroticism. The model supported the interactive model in that personality factors interacted with coping strategies in maintaining or generating PTSD and general health problems. CONCLUSIONS: After exposure to technological disasters, community residents could develop PTSD and general health problems; however, increased death anxiety was a separate psychological reaction. The interaction between certain personality traits and coping strategies was one reason for PTSD and general health problems.
机译：目的：本研究旨在建立一个多指标多原因模型（MIMIC），以描述创伤后压力（PTSD）反应，一般健康问题，死亡焦虑，人格因素和接触该技术的社区居民应对策略之间的关系。飞机和火车坠毁事故。材料和方法：使用事件影响量表，一般健康问卷-28，死亡焦虑量表，艾森克人格问卷和方式对一百四十八名社区居民在暴露于飞机或火车坠机后进行了评估。应对清单。对照组（n = 90）由来自另一个城市的未遭受灾害的普通民众组成。结果：该模型显示了灾难的影响与一般健康问题之间的显着关联，这些关联因社区居民相对于灾难现场的居住地，灾难发生时是否在场以及灾难的类型而异。该模型还表明，死亡焦虑与灾难类型和神经质有关。该模型支持交互模型，因为人格因素与维持或产生PTSD和一般健康问题的应对策略相互作用。结论：在遭受技术灾难后，社区居民可能会发展为创伤后应激障碍和一般健康问题;但是，死亡焦虑的增加是另外一种心理反应。某些人格特质和应对策略之间的相互作用是造成PTSD和一般健康问题的原因之一。

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